Organization
LEWIS COUNTY GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE ANN PRINCE (COO)
(315) 376-5246
Entity
Organization
Contact information
Practice address
7785 N STATE ST, LOWVILLE, NY 13367-1229
(315) 376-5200
Mailing address
PO BOX 2337, SYRACUSE, NY 13220-2337
(315) 701-5607
(315) 701-5608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03304574
—
NY
Enumeration date
09/27/2010
Last updated
11/27/2018
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